Kevin Sean Jacob (NPI# 1124173521, PAC ID# 2062548076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1124173521 |
PAC ID by PECOS | 2062548076 |
Professional Enrollment ID | I20100330000189 |
Full Name | Kevin Sean Jacob |
Address |
20 Ferguson Blvd Dry Ridge KY 41035-8635 |
Phone Number | 8598241333 |
Gender | M |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 1997 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 8598241333 |
Street Address |
20 FERGUSON BLVD |
City | DRY RIDGE |
State | KY |
Zip | 41035-8635 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephanie Janeen Jacob | Optometry | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald Mckenzie | Physician Assistant | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Troy K Ashcraft | Family Medicine | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Charles M Bernstein | Hospice/palliative Care | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Candace Lynn Koopman | Nurse Practitioner | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Jalean Louise Heikenfeld | Nurse Practitioner | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Brian Melton | Nurse Practitioner | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Joel P Maier | Plastic and Reconstructive Surgery | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Betsy Kathryn Oriolo | Registered Dietitian Or Nutrition Professional | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Lisa Downton | Certified Nurse Midwife (cnm) | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Kenneth Lin | Psychiatry | Summit Medical Group, Inc. | 19 S Main St, Dry Ridge, KY 41035-7332 |
Find all physicians in zip 41035 |
City | DRY RIDGE |
Zip Code | 41035 |
Specialty | OPTOMETRY |
City + Specialty | DRY RIDGE + OPTOMETRY |
Please comment or provide details below to improve the information on Kevin Sean Jacob.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.